Samuelson, Trista
Samuelson, Trista is an individual health care provider with primary practice located at 428 Hartford Tpke , Vernon CT 06066-4841. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Samuelson, Trista can be contacted via phone (860) 858-4947.Contact Information
Primary practice address
428 Hartford Tpke
Vernon CT 06066-4841
Phone: (860) 858-4947
Fax: (215) 831-9887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW016916 | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006823 | Connecticut |
Profile Details
| NPI number | 1932359668 |
|---|---|
| LBN Legal business name | Samuelson, Trista |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2008 |
| Last updated | Dec 1st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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